腹部原发性结外淋巴瘤的超声造影表现  

Contrast-enhanced Ultrasonography of Abdominal Primary Extranodal Lymphoma

作　　者：薛念余[1] 许幼峰[1] 张盛敏[1] Xue Nianyu;Xu Youfeng;Zhang Shengmin(Department of Ultrasound,The Ningbo First Hospital,Ningbo,Zhejiang 31010,China)

机构地区：[1]宁波市第一医院,浙江省宁波市315010

出　　处：《中国超声医学杂志》2022年第8期938-941,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的 评价超声造影在腹部原发性结外淋巴瘤诊断中的价值。方法 回顾性分析15例经病理证实的腹部原发性结外淋巴瘤的超声造影表现。结果 10例实质器官淋巴瘤中3例呈现“血管漂浮征”;3例胃肠道和1例膀胱淋巴瘤均沿着壁长轴浸润性生长,浆膜和黏膜比较光整,1例胃淋巴瘤浆膜光整,但是黏膜面可见多发溃疡。超声造影均表现为均匀增强,未见明显坏死区。结论 常规超声结合超声造影可以帮助超声医师准确诊断腹部原发性结外淋巴瘤,可避免患者进行不必要的手术。Objective To evaluate the value of contrast-enhanced ultrasound in the diagnosis of abdominal primary extranodal lymphoma. Methods The contrast-enhanced ultrasonography findings of 15 patients with pathologically confirmed abdominal primary extranodal lymphoma were retrospectively analyzed. Results Among 10 cases of parenchymal organ lymphoma, 3 cases showed “vascular floating sign”. 3 cases of gastrointestinal lymphoma and 1 case of bladder lymphoma invaded along the long axis of the wall, and the serosa and mucosa were smooth. 1 case of gastric lymphoma had smooth serosa and multiple ulcers on mucosal surface. Contrast-enhanced ultrasound showed uniform enhancement, and no obvious necrotic area was found. Conclusions Conventional ultrasound combined with contrast-enhanced ultrasound can help ultrasound doctors to accurately diagnose abdominal primary extranodal lymphoma and avoid unnecessary surgery.

关 键 词：超声检查 微气泡 淋巴瘤 

分 类 号：R735[医药卫生—肿瘤] R445.1[医药卫生—临床医学]